Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $184.27 / $428.23 / $3,740.00	Facility		$184.27	$428.23	$3,740.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $200.37 / $317.01 / $484.20	Professional		$200.37	$317.01	$484.20
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,066.00 / $2,114.00 / $3,020.00	Facility		$1,066.00	$2,114.00	$3,020.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $154.78 / $206.38 / $303.10	Professional		$154.78	$206.38	$303.10
CareSource Facility/Professional Facility Modifier Low / Median / High Price $213.46 / $310.33 / $366.21	Facility		$213.46	$310.33	$366.21
CareSource Facility/Professional Professional Modifier Low / Median / High Price $243.84 / $324.88 / $650.66	Professional		$243.84	$324.88	$650.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $312.67 / $407.87 / $407.87	Facility		$312.67	$407.87	$407.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $238.64 / $453.08 / $759.08	Professional		$238.64	$453.08	$759.08
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $549.26	Professional		$32.34	$32.34	$549.26
United Facility/Professional Facility Modifier Low / Median / High Price $391.00 / $950.00 / $3,394.00	Facility		$391.00	$950.00	$3,394.00
United Facility/Professional Professional Modifier Low / Median / High Price $396.00 / $534.23 / $743.40	Professional		$396.00	$534.23	$743.40